L Jon Porman is a Sports Physician in Gilbert, Arizona. L Jon Porman practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for L Jon Porman is 1538386248. The last update date is 2007-07-08.
L Jon Porman's current location address is 1425 W Elliot Rd, Gilbert, Arizona. You can contact this provider via phone number 4808129000. The mailing address for L Jon Porman is 1425 W Elliot Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | L Jon Porman |
|---|---|
| Address | 1425 W Elliot Rd, Gilbert, Arizona |
| Phone Number | 4808129000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1538386248 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 W Elliot Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852335129 |
| Phone Number | 4808129000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 5435 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0932790 | AZ | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the L Jon Porman's unique identification number?
The L Jon Porman has been assigned the NPI (National Provider Identifier) Number 1538386248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the L Jon Porman located?
The L Jon Porman is located at 1425 W Elliot Rd, Gilbert, AZ 852335129.
What is the L Jon Porman's specialty and taxonomy code?
The L Jon Porman's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
When did the L Jon Porman receive its 1538386248?
The L Jon Porman was issued its 1538386248 on 2007-04-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to L Jon Porman last refreshed?
The information related to the L Jon Porman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.